Bioethical Concerns During the COVID-19 Pandemic: What Did Healthcare Ethics Committees and Institutions State in Spain?.

Loading...
Thumbnail Image
Identifiers

Publication date

2021

Start date of the public exhibition period

End date of the public exhibition period

Authors

Ruiz Hornillos, Francisco Javier
Hernández Suárez, Pilar
Marín Martínez, Juana María
De Miguel Beriain, Íñigo
Nieves Vázquez, María Auxiliadora
Albert, Marta
Pachecho Martínez, Pedro A.
Trasmontes, Victoria
Guillén Navarro, Encarna

Advisors

Journal Title

Journal ISSN

Volume Title

Publisher

Frontiers in Public Health
Metrics
Google Scholar

Research Projects

Organizational Units

Journal Issue

Abstract

Objectives: Each new wave of the COVID-19 pandemic invites the possible obligation to prioritize individuals’ access to vital resources, and thereby leads to unresolved and important bioethical concerns. Governments have to make decisions to protect access to the health system with equity. The prioritization criteria during a pandemic are both a clinical and legal-administrative decision with ethical repercussion.We aim to analyse the prioritization protocols used in Spain during the pandemic which, in many cases, have not been updated. Method: We carried out a narrative review of 27 protocols of prioritization proposed by healthcare ethics committees, scientific societies and institutions in Spain for this study. The review evaluated shared aspects and unique differences and proffered a bioethical reflection. Results: The research questions explored patient prioritization, the criteria applied and the relative weight assigned to each criterion. There was a need to use several indicators, being morbidity and mortality scales the most commonly used, followed by facets pertaining to disease severity and functional status. Although age was initially considered in some protocols, it cannot be the sole criterion used when assigning care resources. Conclusions: In COVID-19 pandemic there is a need for a unified set of criteria that guarantees equity and transparency in decision-making processes. Establishing treatment indications is not the aim of such criteria, but instead prioritizing access to care resources. In protocols of prioritization, the principle of efficiency must vary according to the principle of equity and the criteria used to guarantee such equity.

Doctoral program

Description

Keywords

Equity, Morbidity, Mortality, Prioritization, Triage, Healthcare ethics committees, COVID-19

Citation

Collections